CPT code 94760: Pulse oximetry, single determination2026 Medicare rate & RVUs in Delaware

A single noninvasive oxygen-saturation reading by ear or pulse oximetry, reported for a spot assessment rather than repeated or overnight monitoring.

CMS RVU26DEffective Oct 1, 2026One payment locality10.3K Medicare services in 2024

In Delaware, Medicare pays $3.93 for 94760 in the office.

$3.93Office (non-facility)
Not available in this settingHospital or facility
−2.0%vs the national office rate ($4.01)

Check a contract rate as a % of Medicare · 94760 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 94760 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 94760 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 94760 covers

This service records one oxygen-saturation reading using a noninvasive ear or pulse oximeter, commonly a fingertip sensor. Clinical staff may obtain it in a physician office, clinic, or hospital outpatient setting during assessment of dyspnea, respiratory symptoms, or oxygenation. The service represents a spot measurement, not a series of readings or prolonged monitoring. The code covers the technical measurement; a separate code covers interpretation when that service is furnished and reportable.

Report one determination when the service consists of a single reading. Documentation should identify the measurement and clinical context and support that only one determination was performed. CMS classifies this as a minor service payable only when no other physician service is billed for the same date. When an E/M service or another physician service is billed that day, 94760 is not separately payable under this rule. CMS assigns no physician work RVU to the technical service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 94760

Across 109 of 109 payment localities, the office rate for 94760 runs from $3.33 in Arkansas to $5.48 in San Benito County, CA. Delaware pays $3.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

94760 in Delaware vs other payment areas
  1. Delaware · this page$3.93
  2. Los Angeles, CA · California$4.57+$0.64
  3. Washington, DC area · District of Columbia$4.70+$0.77
  4. Miami, FL · Florida$4.67+$0.74
  5. Chicago, IL · Illinois$4.46+$0.53
  6. Manhattan, NY · New York$4.80+$0.87
  7. Alaska · Alaska$4.10+$0.17

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

94760 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$3.40—
ArkansasArkansas$3.33—
ArizonaArizona$3.85—
Bakersfield, CACalifornia$4.23—
Chico, CACalifornia$4.21—
El Centro, CACalifornia$4.21—
Fresno, CACalifornia$4.21—
Hanford, CACalifornia$4.21—

94760 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$3.33

$4.85

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
94760 office rate range by state
State / territoryOffice rate rangeLocalities
AK$4.101
AL$3.401
AR$3.331
AZ$3.851
CA$4.21–$5.4829
CO$4.171
CT$4.361
DC$4.701
DE$3.931
FL$4.01–$4.673
GA$3.68–$4.132
GU$4.371
HI$4.371
IA$3.491
ID$3.541
IL$3.88–$4.464
IN$3.571
KS$3.491
KY$3.571
LA$3.57–$3.842
MA$4.14–$4.682
MD$4.02–$4.703
ME$3.59–$3.852
MI$3.73–$4.112
MN$3.881
MO$3.49–$3.833
MS$3.411
MT$4.011
NC$3.641
ND$3.811
NE$3.521
NH$4.121
NJ$4.38–$4.622
NM$3.771
NV$3.961
NY$3.73–$4.995
OH$3.691
OK$3.541
OR$3.89–$4.332
PA$3.69–$4.222
PR$4.041
RI$4.091
SC$3.681
SD$3.791
TN$3.521
TX$3.65–$4.188
UT$3.751
VA$3.85–$4.702
VI$4.041
VT$3.811
WA$4.12–$4.782
WI$3.621
WV$3.671
WY$3.921

See 94760 in every payment locality

How the 94760 rate is calculated

Each of 94760’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 94760

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.11

0.11 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.1200

Conversion factor

$33.4009

Medicare rate

$4.01

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,442

Code
94760
Physician work
0.00
Practice expense
0.11
Malpractice
0.01

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 94760 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0050.0000
Practice expense0.11× 0.9880.1087
Malpractice0.01× 0.8990.0090
Total RVUs0.1177
Conversion factor× 33.4009

Office rate, Delaware$3.93

Office: (0 × 1.005 + 0.11 × 0.988 + 0.01 × 0.899) × $33.4009 = $3.93

Open 94760 in the RVU calculator

Payment rules and modifiers for 94760

The CMS indicators that decide how 94760 is paid alongside other services.

CMS payment indicators · 94760

Pulse oximetry, single determination

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

How 94760 has changed in Delaware

94760 · Office / nonfacility

$3.93

Effective 2026-10-01

The base rate is $0.41 higher than on 2025-10-01, moving from $3.52 to $3.93 (11.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $3.52changed to$3.93

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.10 changed to 0.11
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $2.63changed to$3.52

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.07 changed to 0.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $2.58changed to$2.63

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $2.37changed to$2.58

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.06 changed to 0.07
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949
  5. January 1, 2023

    RVU23A

    $2.44changed to$2.37

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $2.46changed to$2.44

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $2.58changed to$2.46

    • Conversion factor 36.0896 changed to 34.8931
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $2.61changed to$2.58

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $2.97changed to$2.61

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.07 changed to 0.06

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $3.34changed to$2.97

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.08 changed to 0.07
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $3.34changed to$3.34

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $3.35changed to$3.34

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $3.34changed to$3.35

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $3.29changed to$3.34

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $3.43changed to$3.29

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.09 changed to 0.08
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $3.43

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$3.93Not available in this settingRVU26D
2026-07-01$3.93Not available in this settingRVU26C
2026-04-01$3.93Not available in this settingRVU26B
2026-01-01$3.93Not available in this settingRVU26A
2025-10-01$3.52Not available in this settingRVU25D
2025-07-01$3.52Not available in this settingRVU25C
2025-04-01$3.52Not available in this settingRVU25B
2025-01-01$3.52Not available in this settingRVU25A
2024-10-01$2.63Not available in this settingRVU24D
2024-07-01$2.63Not available in this settingRVU24C
2024-04-01$2.63Not available in this settingRVU24B
2024-03-09$2.63Not available in this settingRVU24AR
2024-01-01$2.58Not available in this settingRVU24A
2023-10-01$2.37Not available in this settingRVU23D
2023-07-01$2.37Not available in this settingRVU23C
2023-04-01$2.37Not available in this settingRVU23B
2023-01-01$2.37Not available in this settingRVU23A
2022-10-01$2.44Not available in this settingRVU22D
2022-07-01$2.44Not available in this settingRVU22C
2022-04-01$2.44Not available in this settingRVU22B
2022-01-01$2.44Not available in this settingRVU22A
2021-10-01$2.46Not available in this settingRVU21D
2021-07-01$2.46Not available in this settingRVU21C
2021-04-01$2.46Not available in this settingRVU21B
2021-01-01$2.46Not available in this settingRVU21A
2020-10-01$2.58Not available in this settingRVU20D
2020-07-01$2.58Not available in this settingRVU20C
2020-04-01$2.58Not available in this settingRVU20B
2020-01-01$2.58Not available in this settingRVU20A
2019-10-01$2.61Not available in this settingRVU19D
2019-07-01$2.61Not available in this settingRVU19C
2019-04-01$2.61Not available in this settingRVU19B
2019-01-01$2.61Not available in this settingRVU19A
2018-10-01$2.97Not available in this settingRVU18D
2018-07-01$2.97Not available in this settingRVU18C
2018-04-01$2.97Not available in this settingRVU18B
2018-01-01$2.97Not available in this settingRVU18AR1
2017-10-01$3.34Not available in this settingRVU17D
2017-07-01$3.34Not available in this settingRVU17C
2017-04-01$3.34Not available in this settingRVU17B
2017-01-01$3.34Not available in this settingRVU17A
2016-10-01$3.34Not available in this settingRVU16D
2016-07-01$3.34Not available in this settingRVU16C
2016-04-01$3.34Not available in this settingRVU16B
2016-01-01$3.34Not available in this settingRVU16A
2015-10-01$3.35Not available in this settingRVU15D
2015-07-01$3.35Not available in this settingRVU15C
2015-04-01$3.34Not available in this settingRVU15B
2015-01-01$3.34Not available in this settingRVU15A
2014-10-01$3.29Not available in this settingRVU14D
2014-07-01$3.29Not available in this settingRVU14C
2014-04-01$3.29Not available in this settingRVU14B
2014-01-01$3.29Not available in this settingRVU14A
2013-10-01$3.43Not available in this settingRVU13D
2013-07-01$3.43Not available in this settingRVU13C
2013-04-01$3.43Not available in this settingRVU13B
2013-01-01$3.43Not available in this settingRVU13AR

Price 94760 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

94760 billing questions

When should I choose this code instead of 94761?

Use this code for one oxygen-saturation determination. Use 94761 when multiple determinations are performed.

How does this differ from 94762?

94762 is for continuous overnight oximetry. This code represents a single spot measurement.

Can I separately report it with an office visit on the same date?

CMS treats it as a minor service payable only when no other physician service is billed that day. It is not separately payable under this rule when an office visit or another physician service is billed for the date.

Does this code include interpretation?

No. This is the technical measurement; a separate code covers interpretation when interpretation is furnished and reportable.

What documentation supports a single determination?

Document the oxygen-saturation measurement, the clinical reason for the spot check, and that one determination was obtained rather than multiple or overnight readings.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 94760PPRRVU2026_Oct_nonQPP.csv, line 12,442 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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